Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Journal of Community Health
Erschienen in: Journal of Community Health 2/2017

22.09.2016 | Original Paper

Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics

verfasst von: Kathryn E. Gunter, Robert S. Nocon, Yue Gao, Lawrence P. Casalino, Marshall H. Chin

Erschienen in: Journal of Community Health | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Abstract

We examined associations between patient-centered medical home (PCMH) characteristics and quality of diabetes care in 15 safety net clinics in five states. Surveys among clinic directors assessed PCMH characteristics using the Safety Net Medical Home Scale. Chart audits among 864 patients assessed diabetes process and outcome measures. We modeled the odds of the patient receiving performance measures as a function of total PCMH score and of PCMH subscales and covariates. PCMH characteristics had mixed, inconsistent associations with the quality of diabetes care. The PCMH model may require refinement in design and implementation to improve diabetes care among vulnerable populations.
Literatur
1.
Adashi, E. Y., Geiger, H. J., & Fine, M. D. (2010). Health care reform and primary care: The growing importance of the community health center. New England Journal of Medicine, 362(22), 2047–2050.CrossRefPubMed
2.
3.
Alexander, J. A., & Bae, D. (2012). Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes. Health Services Management Research, 25(2), 51–59.CrossRefPubMed
4.
Ali, M. K., Bullard, K. M., Saaddine, J. B., Cowie, C. C., Imperatore, G., & Gregg, E. W. (2013). Achievement of goals in US diabetes care, 1999–2010. New England Journal of Medicine, 368(17), 1613–1624.CrossRefPubMed
5.
Birnberg, J. M., Drum, M. L., Huang, E. S., Casalino, L. P., Lewis, S. E., Vable, A. M., … & Chin, M. H. (2011). Development of a safety net medical home scale for clinics. Journal of General Internal Medicine, 26(12), 1418–1425.CrossRefPubMedPubMedCentral
6.
Bloom, F. J. Jr., & Graf, T. (2010). Redesign of a diabetes system of care using an all-or-none diabetes bundle to build teamwork and improve intermediate outcomes. Diabetes Spectrum, 23(3), 165.CrossRef
7.
8.
Calman, N. S., Hauser, D., Weiss, L., Waltermaurer, E., Molina-Ortiz, E., Chantarat, T., & Bozack, A. (2013). Becoming a patient-centered medical home: a 9-year transition for a network of federally qualified health centers. The Annals of Family Medicine, 11(Suppl 1), S68–S73.CrossRefPubMed
9.
Casagrande, S. S., Fradkin, J. E., Saydah, S. H., Rust, K. F., & Cowie, C. C. (2013). The prevalence of meeting A1C, blood pressure, and LDL goals among people with diabetes, 1988–2010. Diabetes Care, 36(8), 2271–2279.CrossRef
10.
11.
Clarke, R. M., Tseng, C. H., Brook, R. H., & Brown, A. F. (2012). Tool used to assess how well community health centers function as medical homes may be flawed. Health Affairs, 31(3), 627–635.CrossRefPubMed
12.
Cook, N. L., Hicks, L. S., O’Malley, A. J., Keegan, T., Guadagnoli, E., & Landon, B. E. (2007). Access to specialty care and medical services in community health centers. Health Affairs, 26(5), 1459–1468.CrossRefPubMed
13.
Doty, M. M., Abrams, M. K., Hernandez, S. E., Stremikis, K., & Beal, A. C. (2010). Enhancing the capacity of community health centers to achieve high performance. New York: The Commonwealth Fund.
14.
Friedberg, M. W., Schneider, E. C., Rosenthal, M. B., Volpp, K. G., & Werner, R. M. (2014). Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care. JAMA, 311(8), 815–825.CrossRefPubMed
15.
Gabbay, R. A., Bailit, M. H., Mauger, D. T., Wagner, E. H., & Siminerio, L. (2011). Multipayer patient-centered medical home implementation guided by the chronic care model. The Joint Commission Journal on Quality and Patient Safety, 37(6), 265–273.CrossRefPubMed
16.
17.
Hochman, M. E., Chen, A. Y., & Serota, M. (2013). A view from the safety net. JAMA, 309(21), 2221–2222.CrossRefPubMed
18.
Holmboe, E. S., Arnold, G. K., Weng, W., & Lipner, R. (2010). Current yardsticks may be inadequate for measuring quality improvements from the medical home. Health Affairs, 29(5), 859–866.CrossRefPubMed
19.
Jackson, G. L., Powers, B. J., Chatterjee, R., Bettger, J. P., Kemper, A. R., Hasselblad, V., … & Gray, R. (2013). The patient-centered medical home: a systematic review. Annals of Internal Medicine, 158(3), 169–178.CrossRefPubMed
20.
21.
Ku, L., Jones, E., Shin, P., Byrne, F. R., & Long, S. K. (2011). Safety-net providers after health care reform: Lessons from Massachusetts. Archives of Internal Medicine, 171(15), 1379–1384.CrossRefPubMed
22.
23.
24.
Nocon, R. S., Sharma, R., Birnberg, J. M., Ngo-Metzger, Q., Lee, S. M., & Chin, M. H. (2012). Association between patient-centered medical home rating and operating cost at federally funded health centers. JAMA, 308(1), 60–66.CrossRefPubMedPubMedCentral
25.
Nolan, T., & Berwick, D. M. (2006). All-or-none measurement raises the bar on performance. JAMA, 295(10), 1168–1170.CrossRefPubMed
26.
27.
Peek, M. E., Cargill, A., & Huang, E. S. (2007). Diabetes health disparities: a systematic review of health care interventions. Medical Care Research and Review, 64 (Suppl 5), 101S–156S.CrossRefPubMedPubMedCentral
28.
Rosenthal, M. B., Friedberg, M. W., Singer, S. J., Eastman, D., Li, Z., & Schneider, E. C. (2013). Effect of a multipayer patient-centered medical home on health care utilization and quality: the Rhode Island chronic care sustainability initiative pilot program. JAMA Internal Medicine, 173(20), 1907–1913.
29.
Shi, L., Lock, D. C., Lee, D. C., Lebrun-Harris, L. A., Chin, M. H., Chidambaran, P., … & Sripipatana, A. (2015). Patient-centered medical home capability and clinical performance in HRSA-supported health centers. Medical Care, 53(5), 389–395.CrossRefPubMedPubMedCentral
30.
Solberg, L. I., Klevan, D. H., & Asche, S. E. (2007). Crossing the quality chasm for diabetes care: the power of one physician, his team, and systems thinking. The Journal of the American Board of Family Medicine, 20(3), 299–306.
31.
Solberg, L. I., Asche, S. E., Fontaine, P., Flottemesch, T. J., Pawlson, L. G., & Scholle, S. H. (2011). Relationship of clinic medical home scores to quality and patient experience. The Journal of Ambulatory Care Management, 34(1), 57–66.CrossRefPubMed
32.
Solberg, L. I., Crain, A. L., Tillema, J., Scholle, S. H., Fontaine, P., & Whitebird, R. (2013). Medical home transformation: a gradual process and a continuum of attainment. The Annals of Family Medicine, 11(Suppl 1), S108–S114.CrossRefPubMed
33.
Stevens, G. D., Shi, L., Vane, C., & Peters, A. L. (2014). Do experiences consistent with a medical-home model improve diabetes care measures reported by adult Medicaid patients? Diabetes Care, 37(9), 2565–2571.CrossRefPubMedPubMedCentral
34.
Sugarman, J. R., Phillips, K. E., Wagner, E. H., Coleman, K., & Abrams, M. K. (2014). The safety net medical home initiative: transforming care for vulnerable populations. Medical Care, 52, S1–S10.CrossRefPubMed
35.
Metadaten
Titel
Medical Home Characteristics and Quality of Diabetes Care in Safety Net Clinics
verfasst von
Kathryn E. Gunter
Robert S. Nocon
Yue Gao
Lawrence P. Casalino
Marshall H. Chin
Publikationsdatum
22.09.2016
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 2/2017
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-016-0256-9

Weitere Artikel der Ausgabe 2/2017

Journal of Community Health 2/2017 Zur Ausgabe

Original Paper

Mammography-Seeking Practices of Central Illinois Amish Women

Original Paper

Community Partners Join Forces: Battling Obesity and Diabetes Together

Original Paper

Prevalence and Perception of Childhood Obesity in California’s Farmworker Communities

Original Paper

Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan

Original Paper

Oral Health Beliefs, Attitudes, and Practices of Albanian Immigrants in the United States

Original Paper

Essential Resources for Implementation and Sustainability of Evidence-Based Health Promotion Programs: A Mixed Methods Multi-Site Case Study